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Acquisitions (Narrative) (Details)
$ / shares in Units, $ in Millions
1 Months Ended 12 Months Ended
Dec. 27, 2023
USD ($)
Jan. 22, 2021
USD ($)
Dec. 31, 2022
USD ($)
right
$ / shares
Jan. 31, 2021
USD ($)
right
$ / shares
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
Business Acquisition [Line Items]              
Acquired in-process research and development (Note 3)         $ 3,799.8 $ 908.5 $ 970.1
Acquired IPR&D Expense           $ 333.8  
Biopharma Global Inc              
Business Acquisition [Line Items]              
Business acquisition, share price (in dollars per share) | $ / shares         $ 12.50    
Cash paid, net of cash acquired $ 1,035.8            
Akouos Acquisition              
Business Acquisition [Line Items]              
Business acquisition, share price (in dollars per share) | $ / shares     $ 12.50     $ 12.50  
Cash paid, net of cash acquired     $ 327.2        
Consideration transferred, number of contingent value rights | right     1        
Contingent value right, additional price per share (in dollars per share) | $ / shares     $ 3.00     $ 3.00  
Contingent value right, additional price per share, aggregate amount     $ 122.0     $ 122.0  
Prevail Therapeutics Inc.              
Business Acquisition [Line Items]              
Business acquisition, share price (in dollars per share) | $ / shares       $ 22.50      
Cash paid, net of cash acquired   $ 747.4   $ 747.4      
Consideration transferred, number of contingent value rights | right       1      
Contingent value right, additional price per share (in dollars per share) | $ / shares       $ 4.00      
Contingent value right, additional price per share, aggregate amount       $ 160.0      
Contingent value right, monthly reduction | $ / shares       $ 0.083